STATE: Insurance Regulation Flashcards

1
Q

What is the Armstrong investigation?

A

Public concern over abuse by insurers caused the New York state legislation to investigate the marketing practices of insurance companies operating in that state.

An The recommendations resulted from the investigation resulted in the New York insurance code, which set a precedent and pattern for insurance regulation by other state.

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2
Q

US vs Southeastern Underwriters Association 1944…

A

In the case the court ruled that the insurance industry was subject to a series of federal laws, many of which were in conflict with existing state laws.

This ruling held that insurance was a form of interstate commerce subject to regulation by the federal government. The results of this ruling was to shift the balance of regulatory Control from the states to the federal government

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3
Q

Mccarran – Ferguson Act 1945…also known as public act 15

A

Public Law 15: specified that continued state regulation of the insurance industry was in the public’s best interest.

The federal government had the right to regulate the business of insurance when the state did not. This act lead each state to revise its insurance laws to conform to the federal law and helped eliminate conflicts between state and federal law.

***Today, the insurance industry is considered to be state regulated because of this law.

The turmoil from the 1940 4SE you a ruling prompted Congress to enact public law 15.

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4
Q

What is Paul Vs Virginia?

A

This case involves one state Virginia attempt to regulate an insurance company in another state New York. The Supreme Court side against the company ruling that the regulation of the sale and issuance of insurance was the right of each state

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5
Q

The commissioner of banking and insurance has the power to..

  • conduct investigations,
  • administer oaths,
  • Interrogate licensees and others,
  • issue subpoenas to any licensees or other person with regard to any investigations, hearing, or other proceedings.
A

All of the above

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6
Q

The chief executive officer of the department of banking and insurance is the _____, and he is appointed by the governor.

A

Commissioner

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7
Q

The Commissioner may make and force alter modify amend repeal rules and regulations to effectuate the purpose of title 17

How Long before they take effect…

A

These rules can and will be effective not less than five days after they’ve been filed with the Secretary of State. The notice must be published at least 10 days prior to any hearing required by New Jersey law. This hearing may be enough conducted by the commissioner, his deputy, or by any employee authorized by the commissioner

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8
Q

Name additional powers and duties of the commissioner…

– Administrating The work of the department
-appointing and removing department personnel
-reporting illegalities by insurers, brokers, and other insurance personnel
-regulating insurers for insolvency
-Regulating insurance rates
-issuing insurance licenses and collecting the appropriate fees
– Suspending and revoking licenses for just cause
– Issuing cease and desist orders for just cause
– Making a yearly support concerning department operations and submitting it to the governor
– For me any function heating necessary in regard to insurance business in the state

A

– Administrating The work of the department
-appointing and removing department personnel
-reporting illegalities by insurers, brokers, and other insurance personnel
-regulating insurers for insolvency
-Regulating insurance rates
-issuing insurance licenses and collecting the appropriate fees
– Suspending and revoking licenses for just cause
– Issuing cease and desist orders for just cause
– Making a yearly support concerning department operations and submitting it to the governor
– For me any function heating necessary in regard to insurance business in the state

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9
Q

A domestic stock insurer is an insurer incorporated into Hortons with the laws of the state of New Jersey with its capital divided into shares and owned by stockholders. A stock ensure is primarily motivated by profits. Policyholders of the stock company are not entitled to dividends nor liable for any assessments.

A

17B: 18-2 – stock insurer

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10
Q

Mutual insurer: a domestic mutual insurance is an insurer Inc. in accordance with the laws of the state without permanent capital stock, the governing body of which is elected by its policyholders. Again, mutual insurance is owned by its policyholders.

A

The commissioner

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11
Q

An insurance agent is an insurance producer who is authorized, in writing, by any insurance company to act as its agents to solicit, negotiate, or sell insurance contracts on its behalf or to collect insurance premiums. He also may be authorized to countersign insurance policies on its behalf.

A

This is somewhat different than an insurance broker

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12
Q

An insurance broker is an insurance producer who, for commission, brokerages fee, or other consideration, ask for aids in any matter concerning negotiation, solicitation, or sale on insurance contracts as the representative of an insured or perspective insured. An insurance broker can also be a person who places insurance in and insurance company that he does not represent as an agent.

A

This is different than an insurance agent

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13
Q

An insurance consultant is a person who, for fee, commission, or other consideration, ask or holds himself out to the public or any licensee as offering any advice, counsel, opinion, or service with respect to the benefits, advantages, or disadvantages under any policy issued in this state. Consultant shall notinclude being trust officers, attorneys at law, and certified public accountant’s

A

This is different from an insurance agent and insurance broker…

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14
Q

Which of the following is not correct with regard to the New Jersey insurance underwriting Association – fair plan…

A) all insurers authorized to write property insurance in the state must participate in the New Jersey Insurance underwriting Association
B) member insurers will lose their authority to transact property insurance in this state if they refuse to participate in the fair plan
C) The fair plan may ensure property with an insurable value up to $5 million
D) if a person cannot obtain property insurance from an authorized in sure in the normal insurance market, she can apply to the association for coverage

A

C: the fair plan may ensure property with value up to 5 million.

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15
Q

The commissioner of banking and insurance has the power to reform which of the following duties…
A – prosecute agents who break the law
B - subpoena witnesses
C – withhold commissions of a broker in debt D – write insurance laws.

A

B: subpoena witnesses

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16
Q

And in sure whose principal office is sharded in Canada but is authorized to solicit insurance in the state of New Jersey best describes a…

A

Alien company

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17
Q

And application for property coverage submitted to the fair plan does not have to contain which of the following…
A – whether the property is insurable
B – whether an applicant those premiums for prior insurance coverage
C – evidence of past insurability
D – evidence of failure to obtain property insurance from and authorized insurer

A

C – evidence of past insurability

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18
Q

Property coverage may be secured under the fair plan if the applicant provides evidence that…
A – he has had no prior losses
B – he demonstrates his financial security
C – she has not previously applied for coverage under the fair plan
D – he has been unable to secure property insurance from it on from an authorized ensure in the normal market.

A

D – he has been unable to secure property insurance from an authorized you’re in the market

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19
Q

The commission of being insurance will assess which of the following penalties if an agent violates a cease and desist order…

A

Up to $5000

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20
Q

The coverage limit for property insured under the fair plan is…

A

$1.5 million

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21
Q

Which of the following types of exposure may be insured under the New Jersey Fair Plan?
A – tenet–occupied dwelling
be – a farm dwelling
C – physical damage coverage for an automobile
D – vacant property

A

A tenant occupied dwelling

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22
Q

In a reinsurance transaction, the originating insurer may also be referred to as the…

A

Ceding insurer

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23
Q
A licensed agent in the state of New Jersey represents which of the following parties?
A – the insured 
B – the insurer 
C - the commissioner 
D – a broker
A

B – The insurer

24
Q
A producer for who provides false information to and insured in order to persuade him to a lapse his current policy may be guilty of… 
A – rebating 
B – larceny 
C – fraud 
D – misrepresentation
A

D – misrepresentation

25
Q

The commissioner of banking and insurance has the power to perform all the following except…
A – revoke licensing for just cause
B – prosecute agents who violates state law
C – issue cease and desist orders
D – examining insurers

A

B – prosecute agents who violates state law

26
Q
Which of the following persons would be permitted to function as a in insurance consultant? 
A – a former sales representative 
be – a certified public accountant
C – a attorney at law 
D – a bank trust officer
A

A - former sales representative

27
Q

An individual applying for a resident insurance producer license must satisfy all the following except…
A – not having committed any act that is grounds for denial, mission, revocation
B – complete a prelicensing course of study for the appropriate lines already
C – Be at least 21 years old
D – pass the examination for lines of authority for which the application is made

A

C: be at least 21 years old

28
Q
In most instances temporary licenses issued in the state of New Jersey are not valid for longer then? 
A – one month 
B – three months 
C – six months 
D – 12 months
A

C – six months

29
Q

Which of the following was established by the McCarren – Ferguson act?

A

Fair and accurate reporting of information about insurance consumers must be ensured by the state

30
Q

And individual, partnership, corporation whose license is revoked will be entitled to reapply after waiting period of… Years from the date of revocation

A

Five years

31
Q

Rates for most type of commercial insurance must be filed within how many days of their effective date?

A

30 days

32
Q

An individual who lets his producer… Let me rainsuit license and how many months without having to take another listing?

A

12 months

33
Q

A producer changes his address must notify the commissioner… Days

A

Within 30 days

34
Q

A producer who has misappropriated funds belonging to policyholders or insurers made… A – be fined $100,000
B – have his license suspended or vote or be levied a penalty
C – only solicit controlled business
D – secure a temporary license for his wife were next of kin.

A

B – have his license suspended, revolt, be penalized

35
Q
The ability to transact insurance business in the state of New Jersey is granted to add ensure by the issuance of a… 
A – corporate charter
B – certificate of authority 
C – insurance certificate 
D – formation contract
A

B – certificate of authority

36
Q
Making a full statement about an insurer's financial condition in order to ensure its business reputation is known as… 
A – defamation 
B – unfair discrimination 
C – twisting 
D - Coercion
A

A – defamation

37
Q

Which of the following statements best describes a mutual insurance company and see if New Jersey?
A – it is profit motivated,
B – it is a company owned by stockholders,
C – it is company with its principal office in another country
D – it allows policyholders to share profits in the form of dividends

A

D – it allows policyholders to share profits in the form of dividends

38
Q

The party offering a rebate to an applicant for insurance is known as the…

A

Offeror

39
Q

Which of the following is a requirement for issuing a temporary insurance license?…
A – the applicant must do the leas seahorses in 10 days of application filing
B – the applicant must complete a classroom prelicensing training
C – the applicant may be required to have a producer or insurer as a sponsor
D – the havoc and must demonstrate high school ethical standards and pass a background check

A

C – the applicant may be required to have a producer or insurer as a sponsor

40
Q

The standard term of insurance producer licenses how many years?

A

Two years

41
Q

A producer must remit premiums to the insurer within how many business days of receipt?

A

Five days

42
Q

A written binder for a fire insurance policy may not exceed how many days?

A

60 days

43
Q

The minimum automobile liability limits required under the laws of New Jersey are…

A

15/30/5

44
Q

Income continuation benefits are provided under personal injury protection coverage. These benefits may be provided up to a maximum weekly payment…

A

$100

45
Q

Under New Jersey automobile law there may be no exemptions from toward liability if the insured party has sustained…
A – property damage to an own auto
B – permanent disability or injury
C – loss of the essential services
D – damage to personal property in a automobile

A

B – permanent disability or injury

46
Q

Personal injury protection coverage provides for the payment of benefits without regard to negligence to a named insurance or members of his household who sustained bodily injury as a result of an accident while doing all the following except…

A

Getting hit by a tree branch while sitting next to an automobile

47
Q

Automobile policies with personal injury injury protection coverage must provide all of the following benefits except…
A – reasonable medical expenses
be – income continuation benefits of a $100 a week
C – essential service benefits of up to $25 per day
D – death benefits

A

C – essential service benefits of up to $25 per day

48
Q

Personal injury protection coverage includes medical expense, income continuation, essential services, death and funeral expenses benefits. The maximum amount of funeral or burial expenses for one person is…

A

$1000

49
Q
Which of the following provides a method of comparing injury record of an individual risk with the standard performance of an average risk of the same size and kind? 
A – experience rating 
B – class rating 
C – manual rating 
D – statistical rating
A

A – experience rating

50
Q

Which of the following policies is designed to help low income drivers comply with mandatory insurance requirements?

A) CAIP
B) PAIP
C) The Basic Policy
D) The special policy

A

The special policy

51
Q

Which of the following acts state that continued regulation of insurance by individual states was in the public interest?
A – McCarran Ferguson
B – Paul – Virginia at
C – US south eastern underwriters Association at
D – public law 40

A

A – McCarran Ferguson

52
Q

A producers license may be suspended or revoked for all of reasons except
A – having a producers license suspended in another state
B – unknowingly accepting insurance business from an unlicensed producer
C – failing to comply with a court order regarding child support
D – failing to pay State income tax

A

B – unknowingly accepting insurance business from an unlicensed producer

53
Q

Which of the following statements regarding the personal automobile insurance plan is not correct?
A – rates must reflect experience of the risks insured by the PAIP and excessive, in adequate, or unfairly discriminatory
B – the PAIP provides property damage liability and PIP protection, among other coverages
C – risks are distributed Equitably to the insurer based on the proportion of the insurers of the voluntary personal private auto insurance market
D - insurers writing only commercial automobile insurance required to participate in PAIP

A

D - insurers writing only commercial automobile insurance required to participate in PAIP

54
Q

Which of the following statements about the commercial auto insurance plan see a I P is not correct?
A – applicant must live in New Jersey and own a registered vehicle
B – CAIP provides physical damage coverage
C – CAIP provides liability coverage
D – to be eligible for coverage, and insured must have been turned down for insurance coverage by at least three insurers

A

D – to be eligible for coverage, and insured must have been turned down for insurance coverage by at least three insurers

55
Q

Which of the following statements about personal injury benefits provided to pedestrians underpay policies is correct?
A – pedestrian to suffer personal injuries are never covered
B – pedestrians are covered only if injured by a motor vehicle
C – pedestrians are covered if injured by motor vehicle or struck by object propelled by the motor vehicle
D – pedestrians are not covered if struck by objects propelled by A motor vehicle

A

C – pedestrians are covered if injured by motor vehicle or struck by object propelled by the motor vehicle